Descriptive review of acute cholecystitis: Japan-Taiwan collaborative epidemiological study
Journal
Journal of Hepato-Biliary-Pancreatic Sciences
Journal Volume
24
Journal Issue
6
Pages
319-328
Date Issued
2017
Author(s)
Yokoe M.
Takada T.
Hwang T.-L.
Endo I.
Akazawa K.
Miura F.
Mayumi T.
Mori R.
Chen M.-F.
Jan Y.-Y.
Ker C.-G.
Itoi T.
Gomi H.
Kiriyama S.
Wada K.
Yamaue H.
Miyazaki M.
Yamamoto M.
Abstract
Background: Since the publication of the Tokyo Guidelines (TG13) for the management of acute cholecystitis (AC), multidirectional studies have been published. However, epidemiological research about AC with big data was not projected. The aim of this study was to reveal the actual clinical conditions of AC. Method: The study was designed as an international multicenter retrospective study of AC in Japan and Taiwan from 2011 to 2013. The factors investigated comprised data related to demographic, history, physical examinations, laboratory and imaging findings. Based on these data, we investigated the various values of AC, and real situation with respect to severity and treatment. Results: A total of 5,459 patients with AC were reviewed. Thirty-day mortality rate was 1.1%. Based on the diagnostic criteria, 4,088 patients had a definite diagnosis and 291 had a suspected diagnosis. According to the severity grading, 939 patients were classified as Grade III, 2,308 as Grade II, and 2,130 as Grade I. Cholecystectomy was performed in total of 4,266 patients and 2,765 patients had laparoscopic cholecystectomy. The main etiologies were gallbladder stones in 4,623 cases. Conclusion: This epidemiological study with large population will undoubtedly contribute to establish the best practice for managing AC worldwide. ? 2017 Japanese Society of Hepato-Biliary-Pancreatic Surgery
Subjects
Acute; Cholecystitis; Epidemiology; Guidelines; Multicenter study; Severity of Illness Index
SDGs
Other Subjects
acute cholecystitis; adult; aged; Article; cholecystectomy; cholelithiasis; controlled study; demography; diagnostic imaging; disease classification; disease severity; echography; female; histopathology; human; human tissue; Japan; laboratory test; laparoscopic cholecystectomy; major clinical study; male; medical history; morbidity; mortality; mortality rate; multicenter study; observational study; physical examination; retrospective study; Taiwan; x-ray computed tomography; acute cholecystitis; clinical trial; cohort analysis; conservative treatment; Doppler ultrasonography; incidence; international cooperation; middle aged; procedures; prognosis; risk assessment; severity of illness index; survival rate; treatment outcome; Aged; Cholecystectomy; Cholecystitis, Acute; Cohort Studies; Conservative Treatment; Female; Humans; Incidence; Internationality; Japan; Male; Middle Aged; Prognosis; Retrospective Studies; Risk Assessment; Severity of Illness Index; Survival Rate; Taiwan; Tomography, X-Ray Computed; Treatment Outcome; Ultrasonography, Doppler
Publisher
Blackwell Publishing Asia
Type
journal article